Frequent Manual Repositioning and Incidence of Pressure Ulcers Essay

give away Manual Repositioning and Incidence of Pressure Ulcers - Essay ExampleLonger hospital stays and costs, as well as the substantial pain and suffering on the part of the patient, can be trim if the focus will be given to preventing insisting ulcers. Frantz, Tang & Titler (2004) declared in their article that the place for Healthcare Research and Quality (AHRQ) conducted a literature review in the summer of 1990 and found come out that the incidence of squash ulcers range from 2.7%to 29.5%, 9% of it occur in general population while 66% occur in high risk populations.Based on the results of the statistics, the population at relative high risks for oblige ulcers are more likely to have more incidences of the case.Thus, bedbound patients are at high risks for developing blackjack ulcers. Learning the susceptibility of a population to develop gouge ulcers, a number of preventive measures including world-wide and clinical guidelines for pressure ulcer prevention have been recommended among of which include frequent dislodge of patients with limited mobility. Although reposition is an accepted and a standard guideline for pressure ulcer prevention, there are limited reason and studies that would support the soundness of repositioning in reducing the incidences of pressure ulcers (Rich et al., 2011, 11). In addition, studies suggest that repositioning should forecast on the level of tissue injury or stages of pressure ulcers. Therefore, before accepting repositioning as a standard physical exertion at a national level, guidelines about the appropriate assessment turncock to use and the correct number and duration of turns in repositioning must be well-established to render effective and cost-reducing prevention as the Centers for Medicare and Medicaid Services no longer reimburses hospitals for treatment of hospital-acquired stage 3 and 4 pressure ulcers due to the reason that pressure ulcer can be prevented by using the current evidence-based p ractice guidelines (Cox, 2011, 365). Early studies about preventing pressure ulcers through repositioning correlate to the number of movements of elderly at night. Hampton (2009) stated that an elderly make 20-40 full turns with small position changes every 510 minutes at night (p. 65). This should be a number of movements an elderly should do in order to prevent pressure ulcers however, the number of turns is not applicable to bedbound patients as it only applies to healthy adults. Then on, subsequent studies focus on the duration of pressure as the most important indicator of pressure ulcer susceptibility until repositioning every two hours develop and become a ritual practice. Repositioning the patient regularly is proved to reduce the incidences of pressure ulcer, however, turning every two hours can increase the risk of shearing and clangour leading to damaged tissues (Hampton, 2009, 65). Thus, turning every two hours could not be effective in preventing pressure ulcer because increased friction is also a contributing factor for pressure ulcer development.